Organization
FAYETTE LEASING CO., LLC
Active
Other names
Fayette Health & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R STOLTZ (SECRETARY / TREASURER)
(513) 530-1808
Entity
Organization
Contact information
Practice address
1217 W FAYETTE ST, BALTIMORE, MD 21223-1938
(410) 727-3947
Mailing address
10123 ALLIANCE RD, BLUE ASH, OH 45242-4887
(513) 530-1808
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414424400
—
MD
Enumeration date
01/30/2008
Last updated
05/01/2025
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